Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $5,495.41	Facility		$4,466.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,691.53	Professional		$1,122.02	$1,513.56	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,365.16 / $5,248.07	Facility		$3,981.07	$4,365.16	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,187.76	Professional		$1,819.70	$2,137.96	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,089.30	Professional		$1,348.96	$1,737.80	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $3,890.45	Facility		$1,202.26	$2,290.87	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $2,290.87	Professional		$1,230.27	$1,949.84	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $2,398.83	Professional		$1,548.82	$2,238.72	$2,398.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,089.30	Professional		$1,000.00	$1,000.00	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $15,488.17 / $26,302.68	Facility		$3,715.35	$15,488.17	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,398.83	Professional		$1,071.52	$1,584.89	$2,398.83